薛氏三步调衡法治疗腰椎间盘突出症
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摘要
目的:探讨薛氏三步调衡法治疗腰椎间盘突出症的临床疗效。方法:根据随机数字表法将90例腰椎间盘突出症患者分成观察组和对照组。对照组给予常规推拿治疗,观察组则给予薛氏三步调衡法治疗。比较两组腰椎间盘突出症患者临床疗效、症状改善时间、活动障碍解除时间、疼痛消失时间;治疗前后患者日本骨科协会评估治疗评分(Japanese orthopaedic association scores,JOA)、日常生活能力(activities of daily living,ADL)评分、生存质量健康调查简表(the MOS item short from health survey,SF-36)评分和疼痛评分;不良反应发生率。结果:观察组腰椎间盘突出症干预有效率显著高于对照组(P<0.05);观察组症状改善时间、活动障碍解除时间、疼痛消失时间显著优于对照组(P<0.05);治疗后观察组JOA评分、ADL评分、SF-36评分和疼痛评分显著优于对照组(P<0.05)。两组均无严重不良反应发生。结论:薛氏三步调衡法治疗腰椎间盘突出症效果确切,可有效改善症状,缓解疼痛,促进腰椎功能改善和活动能力提高,改善患者生存质量,安全有效。
Objective:To explore the clinical efficacy of Xue′s Three-step Balance Method in treatment of lumbar disc herniation.Methods:90 patients with lumbar disc herniation were divided into observation group and control group according to random number table method.The control group was given conventional massage treatment,and the observation group was given Xue′s Three-step Balance Method.To compare the clinical efficacy,symptom improvement time,time to release of the activity disorder,and time of pain disappearance in patients with lumbar disc herniation;Japanese orthopaedic association scores(JOA) scores,daily living ability(activities) Of daily living(ADL) score,the MOS item short from health survey(SF-36) score and pain score;incidence of adverse reactions.Results:The effective rate of intervention for lumbar disc herniation in the observation group was significantly higher than that in the control group(P<0.05).The time to symptom improvement,the time to release the activity disorder,and the time of pain disappearance in the observation group were significantly better than those in the control group(P<0.05).Group JOA score,life ability ADL score,quality of life SF-36 score and pain score were significantly better than the control group(P<0.05).No serious adverse reactions occurred in either group.Conclusion:The application of Xue′s Three-step Balance Method in the treatment of lumbar disc herniation is effective,which can effectively improve symptoms,relieve pain,promote the improvement of lumbar function and activity,improve the quality of life of patients,and be safe and effective.
Objective:To explore the clinical efficacy of Xue′s Three-step Balance Method in treatment of lumbar disc herniation.Methods:90 patients with lumbar disc herniation were divided into observation group and control group according to random number table method.The control group was given conventional massage treatment,and the observation group was given Xue′s Three-step Balance Method.To compare the clinical efficacy,symptom improvement time,time to release of the activity disorder,and time of pain disappearance in patients with lumbar disc herniation;Japanese orthopaedic association scores(JOA) scores,daily living ability(activities) Of daily living(ADL) score,the MOS item short from health survey(SF-36) score and pain score;incidence of adverse reactions.Results:The effective rate of intervention for lumbar disc herniation in the observation group was significantly higher than that in the control group(P<0.05).The time to symptom improvement,the time to release the activity disorder,and the time of pain disappearance in the observation group were significantly better than those in the control group(P<0.05).Group JOA score,life ability ADL score,quality of life SF-36 score and pain score were significantly better than the control group(P<0.05).No serious adverse reactions occurred in either group.Conclusion:The application of Xue′s Three-step Balance Method in the treatment of lumbar disc herniation is effective,which can effectively improve symptoms,relieve pain,promote the improvement of lumbar function and activity,improve the quality of life of patients,and be safe and effective.
引文
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[2]万飞,熊国星,戴奕爽,等.整体脊柱调衡法治疗胯骨错缝的临床疗效观察[J].保健医学研究与实践,2017,14(3):69-71.
[3]朱震亨.丹溪心法[M].北京:人民卫生出版社,2005:23.
[4]刘鲲鹏,房敏,孙武权,等.按揉“委中”穴影响腰椎间盘突出症患者血浆内皮素和降钙素基因相关肽含量及临床疗效研究[J].颈腰痛杂志,2012,33(1):9-12.
[5]廖良华.中医治疗腰椎间盘突出症的临床观察[J].光明中医,2018,33(1):9-11.
[6]陈章妹,王辉.“通脱法”针刺治疗腰椎间盘突出症90例[J].中国针灸,2016,36(1):69-70.
[7]周杰.圆利针合谷刺法治疗后循环缺血性眩晕的临床研究[D].哈尔滨:黑龙江省中医药科学院,2017.
[8]黄萍萍.捏脊疗法对颈椎病模型大鼠椎间盘软骨细胞外基质及基质金属蛋白酶的影响[D].福州:福建中医药大学,2016.
[9]路爽,王立龙,毛杰.独活寄生汤加减为主配合调衡法牵引治疗腰椎间盘突出症65例临床分析[J].中国疗养医学,2015,24(1):50-51.
[10]胡艳.循经点穴推拿联合电针治疗腰椎间盘突出症40例[J].针灸临床杂志,2015,31(12):22.
[11]韩雪,韩磊,张军,等.冯氏坐位脊柱定点旋转法与中医传统侧卧不定点斜扳法治疗腰椎间盘突出症比较研究[J].北京中医药,2015,34(8):598.